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NPI Code Detail

MEDICARE: RELIANT HOME CARE LLC

MEDICARE: RELIANT HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1689477267
Entity Type Code : Organization
Provider Name (Legal Business Name) : RELIANT HOME CARE LLC
Provider Business Mailing Address
First Line : 1532 S 169TH AVE
Second Line :
City : OMAHA
State : NE
Zip : 68130-1020
Country : US
Telephone Number : 402-881-5711
Fax Number :
Provider Business Practice Location Address
First Line : 1532 S 169TH AVE
Second Line :
City : OMAHA
State : NE
Zip : 68130-1020
Country : US
Telephone Number : 402-881-5711
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SARAH BOGACZ
Credential :
Telephone Number : 402-881-5711
Provider Enumeration Date : 03/31/2025
Last Update Date : 03/31/2025

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Directions to “RELIANT HOME CARE LLC ” Practice Location

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